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Iron deficiency anemia  causing blue skin under the eyes. If there is a shortage of iron in the body, oxygen cannot be properly transported by the blood. Hemoglobin is the oxygen transporting component in the blood, moving oxygen from the lungs to the cells where it is released for normal cell metabolism.
The lack of iron causes hemoglobin levels to decrease, resulting in the subsequent reduction of RBCs. The reduced oxygen flow can deprive your skin of its color, making it look sallow. A healthy dose of iron-rich foods in your daily diet can give your skin a pinkish glow.